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Individual

ELIZABETH TODD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
8230 HAZELBRAND RD NE STE A, COVINGTON, GA 30014-1519
(770) 788-7034
Mailing address
3955 ROYAL PENNON CT, NORCROSS, GA 30092-2175
(770) 689-8137

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00770
GA

Other

Enumeration date
07/03/2012
Last updated
07/03/2012
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